Adjuvanted flu shot (65+) cost in Washington
In Washington, 19 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $44.10 to $176.65, with a median of $82.63. The lowest price is at Valley Medical Center (Renton). The highest price is 4.0× the lowest.
- The median here, $82.63, is 8% below the US median of $90.00.
- Washington ranks 17th of 38 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90653. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$44.10Valley Medical Center
Median$82.63half of hospitals charge less
Highest$176.65in Washington
Lowest saves$38.53vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Valley Medical Center lowest Renton · Seattle-Tacoma-Bellevue, WA Iiv Adjuvanted Vaccine for Intramuscular Use | $44.10 | $63.00 | Mar 12, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $52.52 | $101.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANT, IM(NON STATE) | $53.55 | $105.00 | Jan 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Influenza vaccine, inactivated | $62.10 | $115.00 | Aug 31, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Influenza vaccine, inactivated | $62.40 | $73.41 | Jun 9, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $77.00 | $110.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $77.00 | $110.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $78.29 | $271.43 | Sep 30, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $82.55 | $271.43 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $82.63 | $271.43 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $83.47 | $271.43 | Sep 30, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.91 | $271.45 | Feb 28, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Iiv Adjuvanted Vaccine for Intramuscular Use | $90.00 | $100.00 | Aug 10, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE 0.500 ML SYRINGE | $99.67 | $271.43 | Sep 30, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $119.81 | $271.45 | Feb 28, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 13 | $44.10 | $83.47 |
| Spokane-Spokane Valley, WA | 2 | $77.00 | $77.00 |
| Aberdeen, WA | 1 | $62.10 | $62.10 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $119.81 | $119.81 |
| Pullman, WA | 1 | $62.40 | $62.40 |
| Wenatchee-East Wenatchee, WA | 1 | $90.00 | $90.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What adjuvanted flu shot (65+) is, what the price covers and why prices differ: Adjuvanted flu shot (65+) explained.
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states
- Alabama$337.08
- Alaska$409.03
- Arizona$177.06, 3 hospitals
- Arkansas$80.56, 4 hospitals
- California$141.28
- Colorado$299.18
- Connecticut$117.90
- Delaware$303.45, 3 hospitals
- Florida$219.71
- Georgia$215.27
- Hawaii$196.74, 2 hospitals
- Idaho$251.00
- Illinois$120.00
- Indiana$58.30
- Iowa$56.55
- Kansas$204.00
- Kentucky$62.74
- Louisiana$102.38
- Maine$10.30, 1 hospital
- Maryland$75.00, 1 hospital
- Massachusetts$141.23
- Michigan$89.00
- Minnesota$67.93
- Mississippi$123.04
- Missouri$37.95
- Montana$53.55
- Nebraska$78.84
- Nevada$100.33, 3 hospitals
- New Hampshire$67.54
- New Jersey$150.83, 3 hospitals
- New Mexico$93.98
- New York$106.03
- North Carolina$685.55
- North Dakota$72.91
- Ohio$75.93
- Oklahoma$36.94
- Oregon$227.19
- Pennsylvania$167.20
- Rhode Island$113.00, 2 hospitals
- South Carolina$81.73, 3 hospitals
- South Dakota$78.12
- Tennessee$88.04
- Texas$81.00
- Utah$77.05, 3 hospitals
- Vermont$120.00
- Virginia$25.40
- West Virginia$73.00
- Wisconsin$67.54
- Wyoming$46.75, 1 hospital
Median cash price across the state's hospitals.